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My 3 mo X ray - Discs tilted all over the place
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| iSpine Discuss My 3 mo X ray - Discs tilted all over the place in the Main forums forums; Just curious, who is your post-adr surgeon? Did he/she explain why they were moving in different directions? It ... |
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05-17-2009, 02:55 AM
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Just curious, who is your post-adr surgeon? Did he/she explain why they were moving in different directions? It just seems like if you were leaning in one direction, the discs would all be tilted in the same direction. How come the bottom one looks like the two metal ends are touching? Is this the nova disc design, where it can move that much? Is it a metal on metal device? Restrained or unrestrained? Does it have a polyurethane core? I had never heard of the nova until you got it, and don't know anything about it, so just curious. I am very interested in why and how things work.
Just curious what Mark has said regarding this. I don't understand how what he said about the previous x-rays from the Stenum debate wouldn't apply here. I am confused! 
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34 years old- 1/06- In wreck with 18 wheeler Numerous MRI's, PT, chiropractic, accupuncture, TENS therapy, massage therapy, facet injections, epidural injections, Nerve study, Discogram, confirms pain in L4/5, IDET, decompression, Bi-lateral neurotomy L3/4/5, denied by insurance twice, in Active L clinical trial, had surgery March 17, 2009 in Miami, FL- received Active L disc Had Baby #3 after ADR! 
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05-17-2009, 03:17 AM
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Follow up on surgery
I saw that several places had said they did not want do follow up for "legal" reasons. I was interested in specifically what those were and where in their contracts they stated that? I only ask because at first I was told my insurance company would NOT do follow up for me if I had surgery outside of them. I called my atty who told me to get the contract and let him read it. I did and they actually did have to cover me. I went back to them and showed them this in the contract and they were "Oh did we say we wouldn't treat you"? I just thought I would share this.
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Chemically sensitive disc/Annular tears, DDD, mild bulging, facet arthritus Dancing accident in 96. tried PT, acupuncture, pilates, pain mgmt. nothing worked. Epidurals, facet blocks, caudal blocks, discogram. Opiates for ten years, oral prednisone, toradol inj. & more. Two level spinal fusion with BMS, cages, hardware. due to bone density problems from chemotherapy, they had to go in front and back. Surgery Nov. 6, 2010. So far no regrets.
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05-17-2009, 04:47 AM
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Sounds like the same thing up here. The neuro said not to expect any treatment here if I went away for surgery, but then said they would have to treat me, but don't them to be 'happy' to treat me. That they would really resist covering me. That could mean all sorts of things in my mind...years instead of months for treatment, etc. They have their ways.....
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DDD Herniated discs C4/5 & 5/6, L3/4, L4/5, L5/S1 Severe compression of spinal cord in two levels All conventional therapy exhausted, including spinal injections, PT, massage, etc. In appeal with Gov't Insurance for Out-of-country coverage for ADR hybrid surgery of above discs. Recently discovered that I am severely allergic to all common metals used in surgical hardware except for Titanium.
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05-19-2009, 04:28 PM
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Dr B's analysis
Well, I heard back from Prospine as follows:
"Regretably your x-ray newante.oyur perfect 3-months x-ray does raise major concern: The c67 ADR is tilted, and this is due to an apparent sinking of the upper plate component into the vertebral body bone. This does not have consequences for the width of your spinal canal, so no danger for the myelon – be put back at ease. Dr. Bertagnoli recommends to correct this finding surgically now: reentering via the same approach. Removal of the ADR. Fusion of this semgnet by a zero-profile cage, which can be fixed with little titanium screws. This would represent a estimated 1,5 h procedure, which of course he wants to do himself. This could secure an adequate position of this segment for lifetime. The alternative of “wait-and-see” is sure out there, as you do not have relevant complaints. Yet as the vertebral bone stock within a vertebral body is spongiosa (“softer” than the endplate) further subsidence might occur. And then result in a “kink” in your cervical spine, causing pain. And which could affect the c56 position, which is at present perfectly functioning. In balancing the comparatively low effort of re-entering to this eventual course in the future, we recommend revision surgery. Pro-spine will send you a cost-estimate for the proposed surgical plan, which of course will respect this very exceptional constellation of your case. . After reception please tell me, if you wish to be scheduled."
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2/26/09 - c4-c7 3 level ADR Prodisc Nova with Dr Bertagnoli. 100% success. 9/22/09 -Dr B opened me up to find a staph infection was eating my vertebrae causing ADR subsidence. Had to remove all 3 ADR's and convert to 3 level fusion. Mostly pain free 2 weeks post op. 9/20/10 - I think I jinxed myself. As soon as I told dr b and dr Sullivan I was doing well (on 6/1/10) I tanked and have experienced the return of pain. My neuro says the new pain is at t4.
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05-19-2009, 05:00 PM
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Steve,
IMHO, I would do what Dr. B suggests. It is good that you raised concerns because it looks like now they are justified. Sorry, he has to go in again. I think what he is saying about the wait and see approach, is to do something now before things get worse. Subsistence is a potential complication of ADR surgery and I am sorry it happened to you. i know you've gone through a long haul, with insurance issues and then going to Germany for surgery. Good luck with your decision. I wish you the best.
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05-19-2009, 05:29 PM
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Steve - OMG - I am sorry you have to face such a decision so quickly post op especially when you feel great.
I really don't understand why this happened - were your bones too soft?
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44 Year Old, mom of 3 DDD - l4-s1- woke up Feb 2005 and couldn't walk Tried PT, Injections, Accupuncture, drugs, etc. 2 level Prodisc ADR L4-S1, Feb. 18, 2008 Dr. Bertagnoli - Straubing, Germany - SUCCESS - Now I struggle with Neck Pain likely c5-7 PT, injections, rhizotomy.......MRI and CT Myleo not consistent with pain symptoms, waiting that out, keeping my passport valid
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05-19-2009, 06:18 PM
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Steve,
Don't know what to say. This is not good news but can be corrected. Not exactly what you want to hear just when you're healing from your previous surgery. You probably don't want to trek back to Germany for surgery, time or costs. But... So what are you going to do. Wait and see, although an option, isn't the best one but the least intrusive. What would I do? I'd suck it up and have the revision. I spent too many years with no life and put all my eggs in one basket. If my basket sprung a leak, yes I would get it fixed - and before anything else fell out. Damn, Dale
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3 level Prodisc adr S1-L3, Oct 12, 2005 Dr. B in Bogen, Germany Severe nerve damage in left leg, still working on it
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